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Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services at ... and community members improve..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum health. We provide telephonic outreach to ... to assess and support their..
Description The Pharmacy Development Specialist will be responsible for qualifying ... Responsibilities Summary The Business Development Specialist will be responsible for managing ... to travel periodically when requested. Education and/or..
... excellent professional development & continued education. Required Qualifications - What it ... healthcare company committed to putting health and safety first for our ... on social distancing and reduce..
... Information Humana Senior Contract Tools, Education, Processes Professional - Remote in ... Description The Senior Contract Tools, Education, Processes Professional builds templates, standard ... knowledge. The Senior Contract Tools,..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
... At Medtronic, the Therapy Support Specialist supports the Interstim Therapy groups ... support, troubleshooting, customer service and education within a territory. In certain ... on one sessions, in service..
... on medical background and reviews health claims. The Medical Director work ... Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... provide clinical oversight to Behavioral..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Description The Behavioral Health Medical Director responsible for behavioral ... Medical Director responsible for behavioral health care strategy and/or operations. The ... strategy and/or operations. The Behavioral Health Medical Director..
... to appropriate Phlebotomist III, Analytical Specialist or Supervisor and Team Leader. ... certified medical assistant (CMA), Home Health Aide (HHA), Direct Support Professional ... through our Employee Resources Groups..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... excellent professional development & continued education. Required Qualifications - What it ... successful experience in completing efficient health-related research, with associated analysis and ... healthcare company committed to putting..
Job Information Humana Specialty Drug Site of Care Specialist in Jersey City New Jersey Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
